| NPI | 1083721534 |
|---|---|
| Former Name | SANDRA J PRATT-LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1227-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 1227-125) |
| 101Y00000X Counselor (Licence: WI 63753-030) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2012-01-19 |